Bipolar Affective Disorder. Clinical Aspects and Comorbidity

Author:

Dovzhenko T.V.1,Tsarenko D.M.2,Yudeeva T.Yu.3

Affiliation:

1. Moscow Research Institute of Psychiatry - Federal Budgetary Institution "V. Serbsky National Medical Research Centre for Psychiatry and Narcology" of the Ministry of Health of Russia

2. Moscow Research Institute of Psychiatry— Branch of The Serbsky Federal Medical Research Center for Psychiatry and Narcology

3. Moscow Research Institute of Psychiatry — Branch of The Serbsky Federal Medical Research Center for Psychiatry and Narcology

Abstract

The review of the literature describes the clinical features of bipolar affective disorder (BAD). Difficulties in diagnosing BAD due to the complex clinical picture that cause untimely diagnosis and the formation of an unfavorable course of the disease are examined in detail. The data on mental disorders it is necessary to differentiate BAD from are presented. The characteristics of the course of BAD are described in detail, including unfavorable forms and mixed bipolar conditions, which are difficult to diagnose and treat, and present a negative prognostic factor. The data on the deterioration of the cognitive abilities of patients with an increase in the number of episodes of BAD, which can occur even during euthymy, are considered. Particular attention is paid to the consideration of forms of mental and somatic pathology, comorbid BAD associated with a decrease in the quality of life, poor prognosis, increased disability, and premature mortality.

Publisher

Federal State-Financed Educational Institution of Higher Education Moscow State University of Psychology and Education

Subject

Clinical Psychology,Health (social science),Developmental and Educational Psychology

Reference43 articles.

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5. American Psychiatric Association. Practice guideline for the treatment of patients with bipolar disorder (revision) [Elektronnyi resurs]. 2002 Available at: https:// psychiatryonline.org/pb/assets/raw/sitewide/practice_guidelines/guidelines/ bipolar.pdf (Accessed 10.11.2019). // American Journal of Psychiatry. 2002. Vol. 159. № 4. P. 1—50.

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